Laserfiche WebLink
��- -_� City of Orono FOR CITY USE ONLY <br /> ���N� P.o.BoX 66 R���I�/�D <br /> 1 2750 Kelley Parkway Date Received: 5"�' <br /> � Crystal Bay,MN 55323 <br /> I� y � Phone: (952)249-4600 Fax:(952)249�6 � �y ����� Permit Number �r�r�058 <br /> � ta�c�r.ci.qrono.mn us <br /> � <br /> F �, __ . .. _ .. __ . _ <br /> Permit Fee: $25.00 P� ,�� <br /> `"kfsr+o��' CIN OF ORONO <br /> 5•3o'�'-I <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie� <br /> Tent Information: <br /> Date of Event: �j � � ���e of Tent(s):�� "'I �� Number of Tent(s): � <br /> � � . '� U <br /> Does the tent have sides? No Ye ���� <br /> � <br /> Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch <br /> or Drawing of where the tent will be located on the propertv along with this application. <br /> Owner Information: <br /> Site Address: ��?'� �I `���,�V�� ���.�_ �}'���� �� 1�1 �FY JY 1� <br /> �, � � <br /> Owner: ��(�[���, 1'(����,(�q y�� ��Q, Mailing Address: �� � <br /> '� _,' <br /> City: Zip: � <br /> Home Phone: ������'����Q Alternate Phone: <br /> Contractor/Applicant Information: <br /> 1 �,�`�11�L�'1'�Q.`t��� <br /> Contractor/App.: ��rContact Person: ���,� �j'(� <br /> 11 <br /> Address: �� � �' � City: � Zip:C�����1;>d <br /> Phone: ` ,� � � Alternate Phone: �'�'���j'��� <br /> Fax: Email� � ���,�x.�1��Q������<�� <br /> � <br /> I hereby apply for a permit and acknowledge that the information above is complete and accurate; that the work will be in <br /> conformance with the ordinances of the City of Orono and the Minneso ir od ;and I understand this is only an application for a <br /> permit and work is not to start without a permit. ,;-'� �-„� � <br /> i � <br /> i <br /> Applicants Signature/Date <br /> Permit Approved By: Date Approved: <br /> (Tent Pertnit OS/04/I 1) <br />